=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629489885
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | APRIL RILEY D.O.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/09/2014
-----------------------------------------------------
Last Update Date | 11/18/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4085 OHIO DR STE 100
-----------------------------------------------------
City | FRISCO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75035-6245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-406-9911
-----------------------------------------------------
Fax | 972-335-1491
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4085 OHIO DR STE 100
-----------------------------------------------------
City | FRISCO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75035-6245
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-406-9911
-----------------------------------------------------
Fax | 972-335-1491
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | R6884
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------